Narcissistic personality disorder: The Daily PANCE Blueprint

Narcissistic personality disorder: The Daily PANCE Blueprint

A 42-year-old businessman presents to a psychiatrist after repeated professional failures. Despite initial achievements, his ventures quickly collapse due to interpersonal conflicts. He boasts about his talents, expects special treatment, and becomes dismissive when feedback is critical. He lacks empathy and blames others for his misfortunes. Which of the following is the most likely diagnosis?

A. Avoidant personality disorder
B. Borderline personality disorder
C. Histrionic personality disorder
D. Narcissistic personality disorder
E. Obsessive-compulsive personality disorder

Answer and topic summary

The answer is D. Narcissistic personality disorder

This individual manifests core Narcissistic personality disorder (NPD) features: an exaggerated sense of self-importance, entitlement, need for admiration, exploitative behavior, and impaired empathy. The pattern of career problems due to interpersonal issues supports this diagnosis.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint PsychiatryPersonality Disorders

It is also covered as part of the Psychiatric EOR topic list